Posts Tagged ‘Dr. Michael Kyrchman’

From the Desk of a Sexual Medicine Gynecologist


Posted 12:58 pm, March 14th, 2011

by Rosann

It seems like everyone is talking about orgasms this month.  Young or old married single divorced widowed or just dating women are asking about what has happened to their orgasmic response.  Some women will tell of thunder and lightening that has fizzled to a brief pitter patter or rain and they are waiting, waiting and waiting with their umbrella only to be disappointed.

Sure orgasmic response can wax and wane, and it is affected by a variety of aspects including medical illnesses, medications as well as poor stimulation techniques but women do not have to concede to a lowered sexual response.  Here are some helpful hints to help rev up that orgasm.  Become empowered about your own sexuality.  Let the thunderstorms begin!

1- If you think that medical illness or medications are affecting orgasmic response see a health care provider who specializes in sexual medicine- there are things that can be done to help

2- Get a good book and vibrator!  Many women do not know their own genital pelvic anatomy so it’s always important to be well educated about your body and its response.  Some of my favorites include the G spot, and Becoming Orgasmic. Vibrators can be very helpful when needing more stimulation.  Do not be shy.  There are many online sites that provide excellent shopping opportunities in the comfort and safety of your own home and will arrive in discreet packaging.

3- Know your body and explore.  There are many erotic areas of a woman’s body and some are often neglected.  Have your partner experiment with some new exciting areas like the breasts, nipples or nape of the neck.  You maybe shocked at the electrifying results.

4- Try Zestra.  Zestra has been shown in clinical studies to improve sexual satisfaction and enhance overall orgasmic experience- In my clinical practice I have many women who use it regularly and it provides that extra needed “oomph” to help them be pushed to the limit of ecstasy.

This month’s “hot off the desk” information was provided by guest blogger Dr. Michael L. Krychman, Executive Director of the Southern California Center for Sexual Health and Survivorship Medicine.

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Don’t Throw in the Orgasm Towel


Posted 10:44 am, March 4th, 2011

by Rosann

Most women consider achieving orgasm as the ultimate sexual experience. But what happens when “getting there” seems downright impossible? Today, guest blogger Dr. Michael L. Krychman, Executive Director of the Southern California Center for Sexual Health and Survivorship Medicine, discusses what to do when you feel like giving up.

Q: Should I throw in the towel on trying to experience orgasm?

Many women report difficulties in achieving orgasm and it is not an uncommon problem that I see in a sexual medicine center.  Often women will tell of orgasmic and arousal changes- the intensity of orgasm has diminished over time or the time to achieve orgasm has increased substantially.  There are clear solutions that women can implement in order to help them regain that orgasmic wow factor they once had.

Medical evaluations are important and should not be underestimated.  Sometimes there are underlying medical illnesses that may be hindering the clitoral blood flow- undiagnosed diabetes, Parkinson’s, hypertension or even high cholesterol have been known to impact overall orgasmic response.  The first step is to rule out any of these illnesses and if you do have them make certain that they are under control.  Secondly- medications!  We are a pill- popping generation of men and women. Many of the prescription medications like antidepressant medications can seriously affect the orgasmic response!  Before automatically stopping them, it’s important to consult with your health care professional- there are potential interventions like changing to a less offending medication or timing the medication to help ease the effects on your orgasmic response.

It is also important to remember that a woman can experience a variety of orgasmic responses- clitoral, vaginal, G spot or even blended types.  Many women are unable to achieve orgasm through penetration and often need direct clitoral stimulation for orgasmic sex.

Make sure you are getting the correct amount of stimulation and to the correct areas.  A woman has many erotic zones, which can be pleasurable and stimulate orgasm.  Vibrators and self-stimulators can be very helpful in achieving the type of stimulation you need.  Do not be afraid to incorporate them into lovemaking activities as well – and do not worry- it’s a myth that you will become addicted to your vibrator.  Educate your partner about your genital anatomy.  Don’t assume your partner can read your mind so it’s important to let them know what feels exciting and pleasurable.  Share your sexual feelings!

Lastly, there are both medical and non medical products that can help with orgasmic response.  Sometimes women may be hormonally depleted and the tissues in the pelvic area may be dry and unresponsive.  In selected case local hormones including estrogen may be restorative; it’s always important to discuss your concerns and have your questions addressed should you think that you’re in need of some local hormonal replacement.  Over the counter products, including Zestra ®, can also help with arousal and orgasmic response.  Many women in my clinical practice swear by it.  They use it regularly to enjoy the Zestra Rush sometimes on a daily basis and will use more before they are sexual intimate with their partner.  Women report increased orgasmic intensity and a shorter time to achieve orgasm.

I feel your frustration, but I wouldn’t be throwing in the towel – you are not alone and there are dedicated sexual health care professionals who can help you!  There are also safe effective products to help you on your sexual journey towards orgasmic response.  Don’t throw away the towel just yet, you will need it to wipe the perspiration from your body soon enough.  Hot steamy orgasmic sex is likely just around the corner.

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